Interventions for promoting reintegration and reducing harmful behavior and lifestyles in street-connected children and young people

Research Centre for Children, Families and Communities, Canterbury Christ Church University, North Holmes Road, Canterbury, Kent, UK, CT1 1QU.
Cochrane database of systematic reviews (Online) (Impact Factor: 6.03). 02/2013; 2(2):CD009823. DOI: 10.1002/14651858.CD009823.pub2
Source: PubMed


There are millions of children and young people estimated to be living and working on the streets around the world. Many have become resilient but continue to be vulnerable to risks. To promote their best chances in life, services are needed to reduce risks and prevent marginalisation from mainstream society. Eleven studies evaluating 12 interventions have been rigorously conducted of services to support street-connected children and youth, all in the developed world. They compared therapy-based services with usual shelter and drop-in services. The results of these studies were mixed but overall we found that participants receiving therapy or usual services benefitted to a similar level. There is a need for research which considers the benefit of usual drop-in and shelter services, most particularly in low and middle income countries, and which includes participation of street-connected children and young people. None of the studies included participants that were comparable to some street children in low income countries, who may be on the street primarily to earn a living or as a result of war, migration or urbanisation.

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Available from: Mirella Veras
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    • "Systematic reviews, in providing a comprehensive view of an evidence base, can address health equity questions, by 1) assessing effects of interventions targeted at disadvantaged populations, such as slum upgrading strategies[4], or interventions for promoting reintegration of street-connected young people[5], or 2) assessing effects of interventions aimed at reducing social gradients, such as examining the effect of tobacco control interventions on social inequalities in smoking[6], or 3) by assessing effects of interventions not aimed at reducing inequity but where it is important to understand the effects of the intervention on equity[7], such as obesity prevention in children[8]. However, despite these examples and the potential benefit of systematic reviews that include an equity analysis, at present few systematic reviews include health equity questions and those that do, often lack sufficient detail to allow readers to assess the credibility of subgroup analyses and applicability judgements[9]. "
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    ABSTRACT: Reporting guidelines can be used to encourage standardised and comprehensive reporting of health research. In light of the global commitment to health equity, we have previously developed and published a reporting guideline for equity-focused systematic reviews (PRISMA-E 2012). The objectives of this study were to explore the utility of the equity extension items included in PRISMA-E 2012 from a systematic review author perspective, including facilitators and barriers to its use. This will assist in designing dissemination and knowledge translation strategies. We conducted a survey of systematic review authors to expose them to the new items in PRISMA-E 2012, establish the extent to which they had historically addressed those items in their own reviews, and gather feedback on the usefulness of the new items. Data were analysed using Microsoft Excel 2008 and Stata (version 11.2 for Mac). Of 151 respondents completing the survey, 18.5% (95% CI: 12.7% to 25.7%) had not heard of the PRISMA statement before, although 83.4% (95% CI: 77.5% to 89.3%) indicated that they plan to use PRISMA-E 2012 in the future, depending on the focus of their review. Most (68.9%; 95% CI: 60.8% to 76.2%) thought that using PRISMA-E 2012 would lead them to conduct their reviews differently. Important facilitators to using PRISMA-E 2012 identified by respondents were journal endorsement and incorporation of the elements of the guideline into systematic review software. Barriers identified were lack of time, word limits and the availability of equity data in primary research. This study has been the first to 'road-test' the new PRISMA-E 2012 reporting guideline and the findings are encouraging. They confirm the acceptability and potential utility of the guideline to assist review authors in reporting on equity in their reviews. The uptake and impact of PRISMA-E 2012 over time on design, conduct and reporting of primary research and systematic reviews should continue to be examined.
    Full-text · Article · Oct 2013 · PLoS ONE
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    ABSTRACT: This is a commentary on a Cochrane review, published in the issue of EBCH, first published as: Coren E, Hossain R, Pardo Pardo J, Veras MMS, Chakraborty K, Harris H, Martin AJ. Interventions for promoting re-integration and reducing harmful behaviour and lifestyles in street-connected children and young people. Cochrane Database of Systematic Reviews 2013, Issue 2. Art. No.: CD009823. DOI: 10.1002/14651858.CD009823.pub2.
    No preview · Article · Jul 2013 · Evidence-Based Child Health A Cochrane Review Journal
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    Full-text · Article · Jul 2013 · Evidence-Based Child Health A Cochrane Review Journal
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